Individual
FATMA ELIAS ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 NORTHERN BLVD STE 360, GREAT NECK, NY 11021-5312
(516) 829-6660
Mailing address
26310 73RD AVE APT A, GLEN OAKS, NY 11004-1004
(347) 720-9628
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312196-01
NY
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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